INVITATION TO SUBMIT

Due by October 15, 2007

PLEASE COMPLETE THIS SUBMISSION FORM FOR EACH PROPOSAL:

NOTE: All information MUST be completed for consideration. If more than one presenter, please duplicate this form and complete the Presenter Information Section for each presenter.

PRESENTER INFORMATION:

Presenter Name:
Title/Degree/Year Rec’d:
Place of Employment:
Mailing Address:
City, State, Zip:
Phone:
Fax:
E-Mail:
Designated Contact Person (if more than one presenter):
WORKSHOP INFORMATION: (If more than one proposal, submit separate form for each.)
Length and Type of workshop requested:						NOTE: Requests are not guaranteed.
		Pre-conference workshop 1/2 day (180 minutes) 4/9/08
		Conference workshop 90-minutes 4/10/08
		Conference workshop 180-minutes 4/10/08
Workshop designed to address: (if combined groups, please explain)
			Adults	Adolescents			Latency Age
	Level of workshop:
			Beginner		Intermediate			Advanced
	Track:
			Practice		Research

Title of Workshop:

.

PLEASE ATTACH THE FOLLOWING DOCUMENTS TO THIS SUBMISSION FORM. All items requested MUST be included with this cover sheet in order to be considered and MUST be typed. Thank you.

· Vitae for each presenter

· One paragraph bio for each presenter

· Brief 2-3 sentence description of workshop as it will appear in the brochure (the conference committee has the right to edit all descriptions)

· One page abstract of the workshop

· Three learning objectives

· Three references in Bibliography format

· Two personal references (include telephone numbers)

· Statement of experience as a conference presenter

PLEASE SEND COMPLETED PROPOSAL(S) TO THE ATTENTION OF:

Diane Langolier

MASOC

70 North Summer Street, Holyoke, MA 01040

(413) 540-0712 x14 - phone (413) 540-1915 – fax DCLinMA@aol.com